Wayne R Heaton APRN

NPI 1083623862 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1083623862
Gender Male
Enumeration Date 08/07/2006
Last Updated 08/19/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1034 N 500 W
PROVO UT, 84604-3380, US
Phone (801) 357-7380
Fax
Business Location
PO BOX 27128
SALT LAKE CITY UT, 84127-0128, US
Phone (801) 357-7380
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State Utah
License Number 2168864405
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According to our database, Wayne R Heaton APRN NPI is 1083623862, taxonomy code is 363LP0808X and license number is 2168864405, license state is located at Utah. Wayne R Heaton APRN physically located at 1034 N 500 W, Provo UT, 84604-3380. NPI Number Wayne R Heaton APRN has the Individual type.

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1083623862 NPI number is provided on an as is basis without warranty of any kind. 1083623862 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne R Heaton APRN are for informational purposes only.